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Plaque PsoriasisPhase 3NCT02701205

Safety and Efficacy Study of Etanercept (Qiangke®) to Treat Moderate to Severe Plaque Psoriasis

A Phase 3 study testing etanercept and etanercept (half dose) in people with Plaque Psoriasis and Psoriasis, run by Shanghai Celgen Bio-Pharmaceutical Co.,Ltd at 4 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a randomized, double-blind, multicentral clinical trial to investigate the efficacy and safety of Recombinant Human TNF Receptor-Ig Fusion Protein for Injection (Qiangke®) in the treatment of Moderate to Severe Plaque Psoriasis. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Plaque Psoriasis, Psoriasis
What is being tested?
etanercept and etanercept (half dose)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
216 participants
Where
4 sitesChina
Study dates
Jan 2015to Dec 2017
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or Female, age 18-65,Asian.
  • Freely provides both verbal and written informed consent.
  • Consent to use effective contraception during the trial period.
  • Participant had a clinical diagnosis of psoriasis for at least 6 months, and had moderate to severe plaque psoriasis
  • Participant must have a Psoriasis Area Severity Index score greater than or equal to 12 at the baseline visit and Body Surface Area involvement greater than or equal to 10% at the baseline visit.
  • Participant has previous exposure to systemic psoriasis therapy or phototherapy, but not ideal.
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  • Meet the following criteria for Tuberculosis screening: A. has no prior history of occult or active tuberculosis. B. No signs or symptoms of active tuberculosis in history and / or physical examination. C. in the first 6 weeks of the trial, tuberculosis screening test meet the requirements of the trial.
  • Laboratory screening results:Hemoglobin≥110g/L.White blood cell≥4 * 109 /L. Neutrophil≥1.5 * 109/L.Platelet≥100 * 109/L.Serum alanine aminotransferase and / or aspartate aminotransferase not more than 1.5 times of the upper limit of normal.Serum creatinine does not exceed 1.5 mg/dL (International units: ≤133 mol/L).
  • During the first 2 weeks of the study, Participant must stop adjuvant therapy including traditional Chinese medicine and acupuncture.
  • Hepatitis B (HBV) screening in compliance with the requirements of this test.
  • Weight≥60Kg.

Who cannot join

  • Pustular, erythrodermic, and/or guttate forms of psoriasis.
  • Participant had treated with TNF antagonists within 6 weeks prior to the Baseline visit.
  • Participant had treated with Other biological agents within 6 weeks prior to the Baseline visit.
  • Participant had treated with Phototherapy or systemic antipsoriatic treatment (such as:Methotrexate(MTX), acitretin, cyclosporine, Total Glucosides of Paeony(TGP), treatment of psoriasis related Chinese medicines, etc.) and systemic corticosteroid treatment within 4 weeks prior to the Baseline visit.
  • Participant had treated with Topical corticosteroid therapy, vitamin A or D analogue or Anthralin within 2 weeks prior to the Baseline visit.
  • Participant received any drug that the drug's metabolism was less than 7 half lives before the Baseline visit.
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  • Participant plans to pregnant or breast feeding or father during the study.
  • The history of occult or active granuloma infections, including histoplasmosis, coccidioidomycosis.
  • Participant has suffered from Non Mycobacterium tuberculosis infection or opportunistic infections (such as cytomegalovirus sense of dyeing, Pneumocystis carinii pneumonia, aspergillosis) within 6 weeks prior to the Baseline visit.
  • The close contact history of active tuberculosis patients or Tuberculosis screening results do not meet the requirements.
  • Participant has suffered from severe infection (for example hepatitis, pneumonia, acute pyelonephritis or sepsis), or participant use intravenous antibiotics now because of infection within 6 weeks prior to the Baseline visit.
  • Participant has suffered from chronic or recurrent infections before or at present, including (but not limited to) chronic kidney infection disease and chronic chest infectious diseases (such as bronchial dilation), sinusitis, recurrent urinary tract infections (such as recurrent pyelonephritis and chronic non remission cystitis), open, overflow liquid or infection of skin wound or ulcer.
  • Human immunodeficiency virus (HIV) antibody positive.
  • Hepatitis B virus (HBV) screening results do not meet the requirements.
  • Hepatitis C virus (HCV) antibody positive.
  • Participant has demyelinating diseases such as multiple sclerosis or optic neuritis.
  • A history of congestive heart failure, including asymptomatic congestive heart failure.
  • A history or sign of a lymph node hyperplasia, including lymphoma or suggestive of a possible sign such as the size and location of an enlarged lymph node or a history of clinically significant enlargement of the spleen.
  • Participant has symptoms or signs of severe, progressive or uncontrolled kidney, liver, blood, gastrointestinal, endocrine, lung, heart, nerve, mental or brain diseases.
  • There is a history of malignancy or previous history.
  • Joint prosthesis has not yet been removed or replaced.

Trial locations and contacts

4 sites in 1 country.

Hongzhong Jin, M.D. contact

8613693583080

jinhongzhong@263.net

China4 sites, 4 recruiting
  • Chinese Academy of Medical Sciences & Peking Union Medical College

    Beijing, Beijing Municipality, 100730

    Hongzhong Jin, M.D.

    Recruiting
  • Qilu Hospital of Shandong University

    Jinan, Shandong, 250012

    Qing Sun, M.D.

    Recruiting
  • Institute of Dermatology and Skin Disease Hospital Chinese Academy of Medical Sciences

    Nanjing, Jiangsu, 210042

    Heng Gu, M.D.

    Recruiting
  • Changhai Hospital of The Second Military Medical University

    Shanghai, Shanghai Municipality, 200433

    Jun Gu, M.D.

    Recruiting

Other trials in China

About this study

Official title: A Multicenter, Randomized, Placebo-Controlled, Double-Blind, Safety and Efficacy Study of Recombinant Human TNF Receptor-IgG Fusion Protein for Injection (Qiangke®) to Treat Moderate to Severe Plaque Psoriasis

This is a randomized, double-blind, multicentral clinical trial to investigate the efficacy and safety of Recombinant Human TNF Receptor-Ig Fusion Protein for Injection (Qiangke®) in the treatment of Moderate to Severe Plaque Psoriasis. The primary purpose is to assess the different maintaining treatment programme in Moderate to Severe plaque psoriasis by Qiangke®. And the second purpose is to assess the efficacy and safety of Qiangke® in Moderate to Severe Plaque Psoriasis. The trial will include 216 Moderate to Severe plaque psoriasis patients,and at the first stage they will be randomized divided into three group: full-dose of Qiangke® group, half-dose of Qiangke® group and placebo group.And the blind stage will last for 12 weeks. Then at the second stage, all patients will receive 50mg qw of Qiangke® for additional 12 weeks.

Read the detailed description

Psoriasis is a chronic inflammatory skin disease that can lead to significant physical and psychologic distress for patients.Recombinant Human TNF Receptor-Ig Fusion Protein for Injection (Qiangke®) can block the role of the cytokine tumor necrosis factor (TNF)-alpha.

TNF-α plays a major role in the pathophysiology of both Psoriasis(PsO)and Psoriatic Arthritis (PsA). TNF-α levels are elevated in psoriatic skin lesions, serum samples, and synovial fluid. Anti-TNF-α therapy has shown efficacy in treating psoriatic skin lesions, joint pain and swelling, enthesitis, and dactylitis plus the ability to improve mobility, reduce radiographic progression of disease, and influence quality of life parameters.

Qiangke® is a dimeric, soluble fusion protein consisting of the extracellular ligand binding portion of the TNF receptor linked to the Fc portion of human Immunoglobulin gamma-1(IgG1). It is capable of binding and neutralizing soluble TNF and transmembrane TNF. It alters neutrophil migration and dendritic cell and T-cell maturation and migration, thus decreasing the local and systemic production of pro-inflammatory cytokines and their subsequent effects.

Being tested
etanercept, etanercept (half dose), placebo
Keywords
Plaque Psoriasis, Skin Disease
Medical subject headings
Psoriasis, Skin Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • etanerceptBiological

    Also called Qiangke®

    Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 50mg twice a week by subcutaneous injection for 12 weeks, At the end of the first 12 weeks, all subjects will be treated with Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 50 mg once a week for an additional 12 weeks.

  • etanercept (half dose)Biological

    Also called Qiangke®

    Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 25mg twice a week by subcutaneous injection for 12 weeks, At the end of the first 12 weeks, all subjects will be treated with Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 50 mg once a week for an additional 12 weeks.

  • placeboDrug

    two vials of placebo twice a week by subcutaneous injection for 12 weeks, At the end of the first 12 weeks, all subjects will be treated with Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 50 mg once a week for an additional 12 weeks.

Study groups in NCT02701205
Study groupRoleWhat they receive
etanerceptExperimentalRecombinant Human TNF Receptor-Ig Fusion Protein for Injection(Qiangke®) 50mg twice a week for 12 weeks, then Two vials of Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 25mg twice a week from Week 12 to Week 24
Receives: Biological: etanercept
etanercept (half dose)ExperimentalOne vial of Recombinant Human TNF Receptor-Ig Fusion Protein for Injection(Qiangke®) 25mg and one vial of placebo twice a week for 12 weeks, then Two vials of Recombinant Human TNF Receptor-Ig Fusion Protein for Injection 25mg twice a week from Week 12 to Week 24
Receives: Biological: etanercept (half dose)
PlaceboPlacebo comparatorTwo vials of Placebo twice a week for 12 weeks, then Two vials of Recombinant Human TNF Receptor-Ig Fusion Protein for Injection(Qiangke®) 25mg twice a week from Week 12 to Week 24
Receives: Drug: placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Achieving a Psoriasis Area and Severity Index Greater Than or Equal to 75% Reduction (PASI 75) Response at Week 12

    Measured: Week 12

Secondary outcomes (6)
  1. Proportion of subjects achieving PASI 90 & 50

    Measured: Week 12

  2. Proportion of subjects achieving PASI 90 & 50 & 75

    Measured: Week 24

  3. Physician's Global Assessment (PGA)

    Measured: Week 12 & 24

  4. Nail Psoriasis Severity Index (NAPSI)

    Measured: Week 12 & 24

  5. Dermatology Life Quality Index (DLQI)

    Measured: Week 12 & 24

  6. Patient's Global Assessment (PGA)

    Measured: Week 12 & 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Mar 2016 (estimated)
  2. Study startJan 2015
  3. Primary completionJan 2017 (estimated)
  4. Study completionDec 2017 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
216 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02701205
Sponsor's protocol ID
QRSTPP
Status last verified
Mar 2016
First submitted
28 Feb 2016
Last updated
8 Mar 2016
Results posted
No
Data monitoring committee
No
Individual data sharing
Undecided

Publications

  • Gottlieb AB, Chamian F, Masud S, Cardinale I, Abello MV, Lowes MA, Chen F, Magliocco M, Krueger JG. TNF inhibition rapidly down-regulates multiple proinflammatory pathways in psoriasis plaques. J Immunol. 2005 Aug 15;175(4):2721-9. doi: 10.4049/jimmunol.175.4.2721.

    PubMed 16081850
  • Gudjonsson JE, Elder JT. Psoriasis: epidemiology. Clin Dermatol. 2007 Nov-Dec;25(6):535-46. doi: 10.1016/j.clindermatol.2007.08.007.

    PubMed 18021890
  • Gupta MA, Gupta AK. Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. Br J Dermatol. 1998 Nov;139(5):846-50. doi: 10.1046/j.1365-2133.1998.02511.x.

    PubMed 9892952
  • Leonardi CL, Powers JL, Matheson RT, Goffe BS, Zitnik R, Wang A, Gottlieb AB; Etanercept Psoriasis Study Group. Etanercept as monotherapy in patients with psoriasis. N Engl J Med. 2003 Nov 20;349(21):2014-22. doi: 10.1056/NEJMoa030409.

    PubMed 14627786
  • Kivelevitch D, Mansouri B, Menter A. Long term efficacy and safety of etanercept in the treatment of psoriasis and psoriatic arthritis. Biologics. 2014 Apr 17;8:169-82. doi: 10.2147/BTT.S41481. eCollection 2014.

    PubMed 24790410
  • Papp KA, Tyring S, Lahfa M, Prinz J, Griffiths CE, Nakanishi AM, Zitnik R, van de Kerkhof PC, Melvin L; Etanercept Psoriasis Study Group. A global phase III randomized controlled trial of etanercept in psoriasis: safety, efficacy, and effect of dose reduction. Br J Dermatol. 2005 Jun;152(6):1304-12. doi: 10.1111/j.1365-2133.2005.06688.x.

    PubMed 15948997
  • Sterry W, Ortonne JP, Kirkham B, Brocq O, Robertson D, Pedersen RD, Estojak J, Molta CT, Freundlich B. Comparison of two etanercept regimens for treatment of psoriasis and psoriatic arthritis: PRESTA randomised double blind multicentre trial. BMJ. 2010 Feb 2;340:c147. doi: 10.1136/bmj.c147.

    PubMed 20124563
  • Chiu HY, Wang TS, Cho YT, Tsai TF. Etanercept use for psoriasis in Taiwan: a case series study. Int J Dermatol. 2013 Jun;52(6):673-80. doi: 10.1111/j.1365-4632.2011.05273.x. Epub 2012 Feb 20.

    PubMed 22348620

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing etanercept and etanercept (half dose) in people with Plaque Psoriasis and Psoriasis, run by Shanghai Celgen Bio-Pharmaceutical Co.,Ltd at 4 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 8 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Hongzhong Jin, M.D. (8613693583080, jinhongzhong@263.net), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Achieving a Psoriasis Area and Severity Index Greater Than or Equal to 75% Reduction (PASI 75) Response at Week 12 (time frame: Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02701205, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Mar 2016.

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